Lisa Jamieson Occupational Therapist HMP Grampian lisa jamieson

Lisa Jamieson Occupational Therapist, HMP Grampian lisa. jamieson 1@nhs. net

Interest in the occupations people do and how that influences….

Occupational Therapy

We understand the value of occupation

We understand the complexity of daily occupations

Therapeutic use of Occupation as a treatment medium

ME! HMP Glenochil, Physical care Needs HMP Corntonvale ½ day a week pilot & scoping

Not participate in environments with lots of visual, auditory and activity level stimuli. Motivation Lack of belief in ability Unsure of interests and values Skills Lack of knowledge for everyday activities

Intervention ·Occupational case formulation completed ·Enabled an understanding of his strengths/ areas of challenge and how these relate to his ability to identify, create and perform a meaningful pro social life after release. ·Sensory modulation sessions were delivered ·guided by occupational therapy and delivered in collaboration with officers during yard time and programmes. This aimed to develop Arran’s ability to stay engaged in activities in challenging environments. ·The Occupational Therapy Remotivation Process was delivered ·through collaborative working with the life skills and electric shed officers to develop Arran’s belief in his ability for new and challenging activities. ·Interest checklist completed ·taster sessions were delivered to explore and discover interests. ·Evidence of positive progress and engagement in prison was used to challenge barriers to accessing community supports necessary for reintegration. ·Information regarding strengths and limitations in everyday occupations was used to inform risk management and community reintegration plans. ·Liaison with police to coordinate meetings post release, to share information about Arran’s difficulties, progress to date and planned community work to continue to address his difficulties.

Outcomes 10 months contact 44 contacts Approx. 31 hours face to face contact Approximate cost of OT contact: £ 1, 674. • Arran discovered several interests which could help create a meaningful routine and identity post release. Opportunities were in place with community resources to access these. • Arran demonstrated an improved awareness of strategies to manage his sensory preferences, leading to him undertaking 6 weeks of a Substance Related Offending Behaviour group and participating in yard exercise time. • Arran developed his belief in his abilities to do a range of domestic tasks, social activities and he discovered he had skills in activities which could be options for employment in the community • 3 weeks after starting work with occupational therapy there was a reduction in the volume of contact with the substance misuse and mental health nursing teams. • We overcame barriers to accessing community supports. Arran obtained a place in a supported accommodation unit and daily access to a mental health support worker after release. • In the 8 years prior to this admission, Arran’s longest period out of prison was 5 days. After release, with ongoing follow up from a community occupational therapist, Arran achieved 3 weeks out of prison.

Thank You lisa. jamieson 1@nhs. net 01779 485 728 @jamieson 2015